Protective & Security
Protective Operations
Medical contingency planning integrated into advances, executive protection, and travel-risk programs.
Medical Risk & Contingency Planning
Medical contingency planning for complex operations.
Physician-led planning for environments where distance, uncertainty, logistics, or limited resources can turn a medical problem into an operational problem.
Off the X provides medical risk assessment, evacuation planning, contingency development, and operational advisory for security firms, corporations, family offices, travel teams, and other organizations operating in complex environments.
Built for Complex Operations
Medical planning that fits the operation—not the other way around.
Off the X adds the medical layer to complex operations: facility selection, evacuation pathways, decision triggers, team capability, and physician-level advisory.
Engage Off the X directly, or integrate us into an existing security, travel-risk, operations, or crisis-management team. Subcontracted and white-label support is available for security and risk-management firms.
Where Off the X Fits
When medical access, logistics, or uncertainty complicate the plan.
Support can be built around a single movement, a recurring program, or an ongoing operating requirement.
Travel
Executive & Global Travel
Planning for itineraries where local capability, transfer options, or continuity of care may be uncertain.
Remote
Austere Environments
Planning where definitive care is delayed, limited, or operationally difficult to reach.
Events
Special Events & High-Profile Movements
Medical readiness where timing, crowd density, visibility, or logistics raise the stakes.
Private
Family Offices & Private Clients
Preparation for principals and families whose travel or activities warrant a higher level of planning.
Organizational
Corporate Operations
Medical risk planning for teams operating across locations, jurisdictions, or constrained environments.
Capabilities
A medical planning capability built around the mission.
Focused support for a mission, route, principal, site, or operating environment—from advance assessment through evacuation planning and execution support.
01
Medical Advance & Site Assessment
Validate hospitals, EMS, routes, and local medical resources before deployment.
02
Medical Contingency Plans
Mission-specific plans with clear triggers, transport options, communications, and roles.
03
Medical Evacuation Planning
Ground and air evacuation options, receiving facilities, transfer pathways, and triggers.
04
Protective Medical Support
Physician-level planning and advisory integrated with the operation.
05
Travel & Remote Operations
Planning for travel and operations where definitive care may be delayed or uncertain.
06
Exercises & Plan Validation
Tabletops, rehearsals, and review to test the plan before it is needed.
Experience
This is what we did before it was consulting.
Operational experience in advance medical planning, facility assessment, evacuation planning, and contingency development.
Off the X was founded by Matthew V. Speicher, DO, MBA, a former White House Medical Unit physician and Chief of Contingency Operations. There, medical advance planning, facility assessment, evacuation planning, and contingency development were core operational responsibilities.
Clinical judgment informed by operational experience
A retired U.S. Navy Commander, emergency physician, and combat aviator, Dr. Speicher brings experience from executive medicine, military medicine, expeditionary operations, and high-consequence care.
- Chief of Emergency Medicine at Walter Reed
- Retired U.S. Navy Commander and combat aviator
- Operational experience in expeditionary and austere settings
The Off the X Approach
Get ahead of the point where a medical problem becomes a mission problem.
“Off the X” comes from the operational principle of moving away from the point of injury or vulnerability when it is safe to do so. Our planning philosophy applies that same mindset upstream: identify the likely points of failure, reduce exposure, and build the next move before it is needed.
01 / AnticipateFind the medical vulnerabilities before the mission begins.
02 / PrepareBuild practical options with clear triggers and realistic resources.
03 / ActMake the plan understandable enough to use under pressure.
Start a Conversation
Bring physician-led medical planning to your next operation.
Tell us the mission, route, traveler, principal, site, event, or operating environment. Off the X can support a focused medical advance, build a full contingency plan, pressure-test an existing plan, or remain available as physician advisory during execution.
Discuss an Upcoming Mission